Iziphi Izinkinga Zezitho Zokuthutha Igazi Ezingeni Le-Central Nervous System? Izimpawu, Izimbangela, Nokwelapha

Izinkinga zezitho zokuthutha igazi ezingeni le-central nervous system yizixhumi ezingavamile phakathi kwezitho zokuthutha igazi ebuchosheni bakho noma emgogodleni wakho. Lezi zixhumi ezihlanganisiwe zezitho zokuthutha igazi zenziwa ngesikhathi sokuthuthukiswa kwasekuqaleni futhi zingathinta indlela igazi eligeleza ngayo ohlelweni lwakho lwezinzwa.

Cabanga ngezitho zokuthutha igazi zobuchopho bakho njengohlelo oluhle lwemiyalo. Ezingeni le-vascular malformations, ezinye zalezi zindlela zinezinye izindlela ezingavamile noma izixhumi ezazingelona ingxenye yohlelo lokuqala. Nakuba lokhu kungase kuzwakale kukhulu, abantu abaningi baphila impilo yabo yonke bengazi ukuthi banayo.

Ziyini izinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Lezi zinkinga yizixhumi zezitho zokuthutha igazi ezingavamile ezikhula ngaphambi kokuzalwa. Izitho zokuthutha igazi azenzi izindlela ezibushelelezi phakathi kwe-arteries ne-veins, endaweni yazo zenza imisebenzi ehlanganisiwe.

Izinkinga zezitho zokuthutha igazi eziningi zihlala ziqina kulo lonke impilo yakho. Ezinye azibangeli lutho, kanti ezinye zingase zibangele izimpawu ezinjengokukhathazeka noma ukubamba.

Uhlelo lwakho lwezinzwa luhlanganisa ubuchopho bakho nomgogodla wakho, ngakho-ke lezi zinkinga zingase zenzeke kunoma iyiphi indawo. Izinkinga zobuchopho zivame kakhulu kunalezo zomgogodla, futhi odokotela sebeyazi kakhulu ukuphatha womabili.

Ziyini izinhlobo zezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Kunezinhlobo eziningi ezahlukene, ngayinye inezingqikithi zayo nezindlela zayo zokuziphatha. Ukuqonda ukuthi yiluphi uhlobo olukhona kusiza iqembu lakho lezokwelapha ukwenza uhlelo lokuphatha oluhle kakhulu isimo sakho esithile.

I-Arteriovenous malformations (AVMs) yilohlobo oludume kakhulu. Lezi zenze izixhumi eziqondile phakathi kwe-arteries ne-veins, zidlula uhlelo oluvamile lwezitho zokuthutha igazi ezincane ebizwa ngokuthi yi-capillaries. Lokhu kungabangela igazi ligeze ngokushesha kakhulu kule ndawo.

I-Cavernous malformations, ebizwa nangokuthi yi-cavernomas, ibukeka njengezixhumi zezindawo ezincane ezigcwele igazi. Lezi zivame ukuba zincane futhi zibangele izimpawu ezimbalwa kunama-AVMs. Ngezinye izikhathi zingase zikhukhulele inani elincane legazi, elihlala liyaphola lodwa.

I-Venous malformations ihilela ukuthuthukiswa kwe-vein ezingavamile. Lezi zivame ukuba yilohlobo oluthambile futhi ngokuvamile azibangeli zimpawu nhlobo. Abantu abaningi bayithola kuphela ngesikhathi sokucubungula ubuchopho okwenziwe ngezizathu ezihlukile.

I-Capillary telangiectasias yizitho zokuthutha igazi ezincane ezandisiwe ezibangeli izinkinga. Lezi zitholakala ngokungahleliwe futhi ngokuvamile azidingi ukwelashwa.

Ziyini izimpawu zezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Abantu abaningi abanezinkinga zezitho zokuthutha igazi abazange babe nazimpawu. Uma izimpawu zivele, zingase zihluke kakhulu kuye ngendawo nobukhulu benkinga.

Izimpawu ezivamile ongaziqaphela zihlanganisa:

• Ukukhathazeka okuzwakala kuhlukile kunokuvamile kwakho
• Ukubamba, okungase kube yisibonakaliso sokuqala kwabanye abantu
• Ubuthakathaka noma ukungabi namandla ezingxenyeni zomzimba wakho
• Ukushintsha kombono noma ubunzima bokuxhumanisa
• Izinkinga zokukhuluma noma ukuqonda ulimi
• Ubunzima bokukhumbula noma ukudideka

Abanye abantu bahlangabezana nezinguquko ezincane ezinjengobunzima bokuhlala begcwele noma ukuzizwa bekhathele kakhulu. Lezi zimpawu zingase ziye ziye, noma zingase zithuthuke kancane kancane ngokuhamba kwesikhathi.

Izimpawu ezingavamile kodwa ezinzima zingase zihlanganise ukukhathazeka okukhulu ngokuzumayo, ukulahlekelwa ukwazi, noma ukushintsha kwezinzwa ngokuzumayo. Lokhu kungase kubonise ukugeleza kwegazi kusuka enkingeni, okudinga ukunakekelwa kwezokwelapha ngokushesha.

Kubalulekile ukuqaphela ukuthi izimpawu zivame ukuphathelene nendawo enkinga ikhona kuyo ebuchosheni bakho noma emgogodleni wakho. Inkinga endaweni elawula ukuhamba ingase ibe yimbangela yobunqunu, kanti enye eduze kwamasiko olimi ingase ithinte inkulumo.

Ziyini izimbangela zezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Lezi zinkinga zithuthukiswa emazingeni okuqala kakhulu okukhulelwa lapho izitho zakho zokuthutha igazi zenza khona. Isizathu esiqondile sokuthi lokhu kwenzekani asiqondakali ngokuphelele, kodwa akubangelwa yilutho wena noma abazali bakho abalwenzile.

Izinkinga zezitho zokuthutha igazi eziningi zenzeka ngokungahleliwe ngesikhathi sokuthuthukiswa. I-genes yakho inikeza imiyalo yokwenza izitho zokuthutha igazi, futhi ngezinye izikhathi le miyalo ishintsha kancane ngesikhathi senqubo enzima yokwenza uhlelo lwakho lwezinzwa.

Lokhu kushiwo, ezinye izimo ze-genetic ezingavamile zingase zikhulise amathuba okuthuthukisa izinhlobo ezithile zezinkinga. I-Hereditary hemorrhagic telangiectasia yisibonelo, nakuba lokhu kuthinta kuphela ingxenye encane yabantu abanezinkinga zezitho zokuthutha igazi.

Izici zemvelo ngesikhathi sokukhulelwa ngokuvamile azibangeli lezi zinkinga. Ngokuvamile zibhekwa njengezinqubo zokuthuthukiswa ezenzeka ngesikhathi senqubo enzima yokwakha uhlelo lwakho lwezinzwa.

Ziyini izici ezingase zikhulise ingozi yezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Njengoba izinkinga eziningi zenziwa ngaphambi kokuzalwa, izici ezingase zikhulise ingozi azisebenzi ngendlela efanayo njengoba zenza kwezinye izimo zezempilo. Noma kunjalo, ezinye izici zingathinta ukuthi kungenzeka kangakanani ukuthi ube nayo.

Ubudala budlala indima ekutheni izimpawu zingase zivele nini. Abantu abaningi bayithola izinkinga zabo ngesikhathi sobuntwana, ubusha, noma eminyakeni engama-30 lapho izimpawu ziqala ukuvela. Lokhu akusho ukuthi inkinga yenziwe ngaleso sikhathi – kungenzeka ukuthi yayikhona kusukela ekuzalweni.

Umlando womndeni ubalulekile kwezinye izimo ze-genetic ezingavamile ezikhulise ingozi yenkinga. Noma kunjalo, iningi labantu abanezinkinga zezitho zokuthutha igazi abanamalungu omndeni athintekile.

Ubulili lubonisa ezinye izindlela, ngezinhlobo ezithile ezivela kancane kubantu noma kwabesifazane. Noma kunjalo, le mihlangano incintisana kakhulu futhi ayithinti kakhulu ingozi yakho siqu.

Ukukhulelwa ngezinye izikhathi kungase kubangele izimpawu kwabesifazane abanezinkinga, ngenxa yokushintsha komthamo negazi. Lokhu akudali izinkinga ezintsha kodwa kungase kubonise ezikhona.

Kufanele ubone nini udokotela ngezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Kufanele ufuna ukunakekelwa kwezokwelapha uma uhlangabezana nezimpawu ezintsha noma ezingavamile zezinzwa. Nakuba izimpawu eziningi zinezichazululo ezilula, kuhlala kuqondakala ukuthi zihlolwe kahle.

Xhumana nodokotela wakho ngokushesha uma uthuthukisa ukukhathazeka okuqhubekayo okuzwakala kuhlukile kunanoma yikuphi okwakunayo ngaphambili. Ukubamba okusha, ikakhulu kubantu abadala, futhi kudinga ukuhlolwa kwezokwelapha njengoba kungase kube yisibonakaliso sokuqala sezimo ezihlukahlukene kufaka phakathi izinkinga zezitho zokuthutha igazi.

Funani ukunakekelwa okusheshayo kwezimo eziphuthumayo uma uhlangabezana nokukhathazeka okukhulu ngokuzumayo, ukulahlekelwa ukwazi, ubuthakathaka noma ukungabi namandla ngokuzumayo, noma ukushintsha kombono ngokuzumayo. Lokhu kungase kubonise ukugeleza kwegazi kusuka enkingeni, okudinga ukwelashwa okusheshayo.

Ngisho nezinguquko ezihamba kancane ezinjengobunzima bokuhlala begcwele, ukuxhumanisa, noma imisebenzi yansuku zonke kufanele zithole ukunakekelwa kwezokwelapha. Udokotela wakho angakusiza ukuthola ukuthi lezi zimpawu zidinga ukuhlolwa okwengeziwe yini.

Uma unomlando womndeni wezinkinga zezitho zokuthutha igazi noma izimo ze-genetic ezihlobene, xoxa ngalokhu nodokotela wakho. Bangakusiza ukuqonda ingozi yakho nokuthi kukhona yini ukuhlola okungase kube usizo.

Ziyini izinkinga ezingase zenzeke ngenxa yezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Abantu abaningi abanezinkinga zezitho zokuthutha igazi baphila impilo evamile, enempilo ngaphandle kwezinkinga ezinzima. Noma kunjalo, ukuqonda izinkinga ezingase zenzeke kusiza ukwenza izinqumo ezinolwazi mayelana nokuqapha nokwelapha.

Inkinga ebaluleke kakhulu ukugeleza kwegazi (hemorrhage) kusuka enkingeni. Lokhu kungenzeka kakhulu ngezinhlobo ezithile ezinjenge-AVMs, nakuba ngisho nalapho, ingozi yonyaka ngokuvamile incane. Uma ukugeleza kwegazi kwenzeka, kungase kubangele izimpawu ezifana nesifo sokuqhaqhazela.

Ukubamba kungase kuvele lapho izinkinga zithinta inyama yobuchopho ngezindlela eziphula umsebenzi wama-electrical ovamile. Abantu abaningi abanezifo zokubamba ezihlobene nezinkinga bayaphendula kahle emithi yokulwa nokubamba.

Ukuntuleka kwezinzwa kungase kuvele uma inkinga ithinta umsebenzi wobuchopho ngokucindezela, ukugeleza kwegazi okuguqukile, noma ukugeleza okuncane kwegazi ngokuhamba kwesikhathi. Lokhu kungase kuhlanganise ubuthakathaka, izinkinga zokukhuluma, noma ukushintsha kwengqondo.

Izimpawu eziqhubekayo zingase zenzeke kwabanye abantu, ngisho nangaphandle kokugeleza kwegazi okuqondile. Lokhu kungase kwenzeke ngenxa yezinguquko ezihamba kancane ekugelezeni kwegazi noma ukugeleza okuncane, okungabonakali okuholela ekwakheni i-scar tissue.

Izinkinga ezingavamile zihlanganisa i-hydrocephalus (ukwakheka kwezinto ezingaphansi komoya ebuchosheni) noma ukwanda kokucindezela ngaphakathi kwesikhumba. Lokhu ngokuvamile kwenzeka kuphela ngezinkinga ezinkulu noma ngemuva kokugeleza kwegazi.

Izindaba ezinhle ukuthi ukunakekelwa kwezokwelapha kwamanje sekuyasebenza kakhulu ekunqobeni nasekuphatheni lezi zinkinga uma zenzeka.

Iziphi izindlela zokuxilonga izinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Ukuxilonga ngokuvamile kuqala ngomlando wakho wezokwelapha nokuhlolwa kwezinzwa. Udokotela wakho uzokubuza ngezimpawu zakho futhi enze ukuhlolwa ukuhlola izinto zakho, ukuxhumanisa, nomsebenzi wobuchopho.

I-MRI (magnetic resonance imaging) yivivinyo lokucubungula elivamile kakhulu elisetshenziswayo. Lokhu kuhlunga okuningiliziwe kungabonisa isimo sobuchopho bakho nomgogodla wakho, kubonise izinhlobo eziningi zezinkinga zezitho zokuthutha igazi ngokucacile nangokuphepha.

I-CT scans ingase isetshenziswe, ikakhulu uma kukhona ukungabaza ukugeleza kwegazi. Lezi zithombe zishesha kune-MRI futhi zingabonisa ngokushesha uma kukhona igazi enyameni yakho yobuchopho.

I-Cerebral angiography inikeza umbono oningiliziwe kakhulu wesakhiwo sezitho zokuthutha igazi. Lokhu kuhilela ukufaka umbala wokuphambana ezithweni zakho zokuthutha igazi nokwenza izithombe ze-X-ray. Ngokuvamile igcinelwe izimo lapho ukuhlela ukwelapha kudinga ulwazi oluqondile kakhulu.

Udokotela wakho angase ayalele ukuhlolwa okwengeziwe njenge-EEG (electroencephalogram) uma ube nokubamba. Lokhu lilinganisa umsebenzi wama-electrical ebuchosheni lakho futhi kusiza ukuqondisa ukwelashwa kokubamba.

Izivivinyo zegazi ngokuvamile azidingeki ekuxilongeni, kodwa zingase zenziwe ukuhlola izimo ze-genetic noma ukulungiselela ukwelashwa okungenzeka.

Yikuphi ukwelashwa kwezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Izindlela zokwelapha ziyahluka kuye ngezici eziningi kufaka phakathi uhlobo, ubukhulu, nendawo yenkinga yakho, kanye nokuthi uhlangabezana yini nezimpawu. Akuwona wonke umuntu onenkinga yezitho zokuthutha igazi odinga ukwelashwa okusebenzayo.

Ukuqapha ngokuqapha okuvamile ngokuvamile yindlela engcono kakhulu, ikakhulukazi ngezinkinga ezincane ezingabangeli zimpawu. Iqembu lakho lezokwelapha lizoqapha noma yiziphi izinguquko ngokuhamba kwesikhathi ngokuhlunga okuvamile.

Imithi ingaphatha kahle izimpawu ezinjengokubamba noma ukukhathazeka. Imithi yokulwa nokubamba isebenza kahle kubantu abaningi abanezifo zokubamba ezihlobene nezinkinga, kanti imithi ehlukahlukene ingasiza ekuphatheni ukukhathazeka.

Ukususa ngokusebenza kungase kunconywe ngezinkinga ezithile, ikakhulukazi lezo eziye zahlanza noma ezinokwenzeka ukubangela izinkinga. Amakhono we-neurosurgical amanje enze lezi zinqubo ziphephile kakhulu kunakuqala.

Izinqubo ze-Endovascular zisebenzisa izikhwephu ezincane ezifakwe ezithweni zokuthutha igazi ukwelapha izinkinga ngaphakathi. Lezi zindlela ezincane zingase zivale izitho zokuthutha igazi ezingavamile noma ziqine izindawo ezibuthakathaka.

I-Stereotactic radiosurgery isebenzisa imisebenzi yomgogodla egxile ukuvala izitho zokuthutha igazi ezingavamile kancane kancane. Lokhu ukwelashwa okungenawo ukusebenza kuthatha izinyanga eminyakeni ukubonisa imiphumela ephelele kodwa kungase kube yindlela ephumelelayo ngezinkinga ezithile.

Iqembu lakho lokwelapha lizohlangana nawe ukukhetha indlela enikeza ibhalansi engcono kakhulu yezinzuzo nezingozi isimo sakho esithile.

Ungaziphatha kanjani izinkinga zezitho zokuthutha igazi ezingeni le-central nervous system ekhaya?

Ukuphila nenkinga yezitho zokuthutha igazi ngokuvamile kuhilela ukwenza izinqumo zokuphila eziqondakalayo ezisekela impilo yakho yonke futhi zinciphisa ubungozi obungase bukhona. Abantu abaningi bangagcina impilo evamile, esebenzayo.

Landela uhlelo lwakho lomuthi ngokucophelela uma uthatha imithi yokulwa nokubamba noma eminye imithi eyalwe. Ukuzinza kusiza ukugcina amazinga aqinile ohlelweni lwakho ukuze kube nomphumela omuhle.

Qaphela izimpawu zakho nanoma yiziphi izinguquko. Gcina ibhuku elilula lokukhathazeka, ukubamba, noma ezinye izimpawu ukuze uhlanganyele neqembu lakho lezokwelapha ngesikhathi sokuvakasha okulandelayo.

Gcina impilo yakho yonke ilungile ngokuzivocavoca okuvamile, ukulala okwanele, nokuphatha ukucindezeleka. Lokhu kusekela umsebenzi wohlelo lwakho lwezinzwa lonke futhi kungasiza ukuvimbela izimpawu zokukhula.

Xoxa ngokunciphisa umsebenzi nodokotela wakho. Abantu abaningi bangase bahlanganyele emisebenzini eminingi, nakuba abanye bengase badinge ukugwema ezinye imidlalo noma imisebenzi enkulu engase ikhulise ubungozi bokugeleza kwegazi.

Funda ngohlobo lwakho oluthile lwenkinga ukuze ukwazi ukwenza izinqumo ezinolwazi mayelana nokukhathalela kwakho. Ukuqonda isimo sakho kusiza ukuxhumana kahle nabaphakeli bezempilo nokubona izinguquko ezibalulekile.

Xhumana namaqembu okusekela noma imiphakathi e-inthanethi uma uthola ukuthi kuyasiza. Abantu abaningi bayazuza ekuxoxeni nabanye abanezihloko ezifanayo.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho kusiza ukuqinisekisa ukuthi uthola ulwazi oluwusizo kakhulu nokuqondisa eqenjini lakho lezokwelapha. Ukulungiselela kancane ngaphambili kungenza umehluko omkhulu.

Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani zivele, nokuthi yini ezenza zibe ngcono noma zimbi. Faka ngisho nezimpawu ezingase zibonakale zingahlobene – ngezinye izikhathi zinikeza izikhuthazo ezibalulekile.

Letha uhlu oluphelele lwemithi, kufaka phakathi imithi yokuthengwa ngaphandle kokubhalwa komuthi kanye nezinye izinto. Ezinye imithi ingase ihlangane nemithi yokwelapha izinkinga zezitho zokuthutha igazi, ngakho-ke udokotela wakho udinga isithombe esiphelele.

Butha noma yiziphi iziphumo zokuhlola ezidlule, ukuhlunga, noma amarekhodi ezempilo ahlobene nesimo sakho. Uma ubone omunye ochwepheshe, letha imibiko yabo nezincomo.

Lungiselela imibuzo kusengaphambili. Cabanga ukubuza ngohlobo lwakho oluthile lwenkinga, izindlela zokwelapha, ukunciphisa umsebenzi, nezimpawu ezifanele zikhuthaze ukunakekelwa kwezokwelapha ngokushesha.

Letha umngane othembekile noma ilungu lomndeni uma kungenzeka. Bangakusiza ukukhumbula ulwazi oluxoxwe ngesikhathi se-appointment futhi banikeze ukusekela ngokomzwelo.

Bhala ukukhathazeka kwakho okukhulu noma imigomo yokuvakasha. Lokhu kusiza ukuqinisekisa ukuthi izihloko ezibaluleke kakhulu zixoxwe ngisho noma i-appointment izwakale ikhuphuka.

Yini eyinhloko mayelana nezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system?

Izinkinga zezitho zokuthutha igazi ezingeni le-central nervous system yizimo ezilawuleka eziningi zabantu eziphila ngempumelelo. Nakuba ukuxilongwa kungase kuzwakale kukhulu ekuqaleni, imithi yanamuhla inikeza amathuluzi amahle okuqapha nokwelapha uma kudingeka.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuba nenkinga yezitho zokuthutha igazi akuchazi impilo yakho noma ukulinganiselwa kwamathuba akho okuphila okugcwele, okusebenzayo. Abantu abaningi abanezihloko ezinjalo balandela imisebenzi, ubuhlobo, nemisebenzi njenganoma ubani omunye.

Ukusebenzisana eduze neqembu lakho lezokwelapha nokuba olukhulu mayelana nesimo sakho yizindlela zakho ezinhle kakhulu zokuthola impumelelo yesikhathi eside. Ukukhathalela okulandelayo okuvamile kusiza ukuqinisekisa ukuthi noma yiziphi izinguquko zitholakala ngokushesha futhi ziphathwe ngokufanele.

Gxila kulokho ongakulawula – ukuthatha imithi njengoba kunqunyiwe, ukugcina impilo yonke ilungile, nokuba olukhulu ngezimpawu zakho. Le ndlela yokuzinakekela ikunika isisekelo esihle kakhulu sokuphatha isimo sakho ngempumelelo.

Imibuzo evame ukubuzwa mayelana nezinkinga zezitho zokuthutha igazi ezingeni le-central nervous system

Ingabe izinkinga zezitho zokuthutha igazi zingaphela zodwa?

Izinkinga zezitho zokuthutha igazi eziningi yizakhi ezimi ezingapheli ngaphandle kokwelashwa. Noma kunjalo, ezinye ezincane zingase zibe kancane ngokuhamba kwesikhathi, futhi izinhlobo ezithile zingase ziphathwe ngempumelelo ukuze zisuse izitho zokuthutha igazi ezingavamile. Udokotela wakho angachaza ukuthi yini okulindelekile kuye ngohlobo lwakho nesimo sakho.

Ingabe izinkinga zezitho zokuthutha igazi ziyizefa?

Iningi lezinkinga zezitho zokuthutha igazi zenzeka ngokungahleliwe futhi azidluliselwa emindenini. Noma kunjalo, izimo ze-genetic ezingavamile ezinjenge-hereditary hemorrhagic telangiectasia zingase zikhulise ingozi. Uma unomlando womndeni wezinkinga zezitho zokuthutha igazi, xoxa ngalokhu nodokotela wakho ukuze uqonde izici zakho ezingase zikhulise ingozi.

Ngingaba nabantwana yini uma nginenkinga yezitho zokuthutha igazi?

Abantu abaningi abanezinkinga zezitho zokuthutha igazi banezimo zokukhulelwa eziphumelelayo. Noma kunjalo, ukukhulelwa kungase kuthinte ukugeleza kwegazi futhi kuthinte izimpawu. Iqembu lakho lezokwelapha lingakusiza ukulungiselela ukukhulelwa ngokulungisa imithi uma kudingeka nokukulawula eduze ngalesi sikhathi.

Ingabe inkinga yami yezitho zokuthutha igazi izoba zimbi ngokuhamba kwesikhathi?

Izinkinga zezitho zokuthutha igazi eziningi zihlala ziqina kulo lonke impilo. Ezinye zingase zibangele izimpawu ezikhulayo kancane kancane, kanti ezinye azibangeli lutho nhlobo. Ukuqapha okuvamile neqembu lakho lezokwelapha kusiza ukulandelela noma yiziphi izinguquko nokulungisa uhlelo lwakho lokukhathalela ngokufanele. Okubalulekile ukuhlala uxhumene nokukhathalela kwezokwelapha kunokukhathazeka ngalokho okungenzeka kwenzeke.

Yimiphi imisebenzi engingayigwema ngenkinga yezitho zokuthutha igazi?

Ukunciphisa umsebenzi kuyahluka kuye ngohlobo lwakho oluthile lwenkinga, indawo yalo, nokuthi ube nazimpawu ezinjengokugeleza kwegazi yini. Abantu abaningi bangase bahlanganyele emisebenzini evamile kufaka phakathi ukuzivocavoca nemidlalo. Udokotela wakho angakunikeza isiqondiso esiqondene nesimo sakho futhi akusize ukwenza izinqumo ezinolwazi mayelana nemisebenzi.